Goran, David A

Goran, David A is an individual health care provider with primary practice located at 12634 Olive Blvd Div Im Gastroenterology, Saint Louis MO 63141-6337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goran, David A can be contacted via phone (314) 747-2066.

Contact Information

Primary practice address
12634 Olive Blvd Div Im Gastroenterology Saint Louis MO 63141-6337
Phone: (314) 747-2066
Fax: (314) 878-3022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R7799 Missouri

Profile Details

NPI number 1578672648
LBN Legal business name Goran, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578672648 NPPES
Missouri MEDICAID 201851128

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